脑深部肿瘤的神经导航辅助手术治疗

目的 探讨神经导航辅助下手术治疗脑深部肿瘤的方法及其疗效。方法 对60例脑深部肿瘤患者实施神经导航辅助手术治疗，个体化设计手术切口，术中对肿瘤及其周围关系进行精准判断，动态监测肿瘤切除程度，观察术后肿瘤影像切除率及临床症状改善情况。结果 35例胶质瘤中，34例达到影像学全部切除，1 例为次全切除；2例转移瘤获得影像学全切；其余良性肿瘤均获得全部切除。术后临床症状改善55例，无变化4例，恶化1例。结论 神经导航能精确定位脑深部肿瘤，合理设计手术方案，降低手术并发症。

Neuronavigator-assisted microsurgery for tumors in deep regions of brain

Objective To explore the superiority of neuronavigator-assisted microsurgery for the tumors in the deep regions of brain. Methods The neuronavigator-assisted microsurgery was performed in 60 patients with tumors in the deep regions of brain. Individualized operative incision was designed. The tumors and their surroundings were punctually identified and the resection-degree of the tumors was uninterruptedly monitored during the operation. Results Of 35 patients with gliomas, 34 received total removal of the tumors and 1 subtotal. The metastatic tumors were totally removed in 2 patients and the benign tumors were totally removed in 23 patients. The clinical symptoms were improved in 55 patients, unchanged in 4 and deteriorated in 1 after the operation. Conclusions Neuronavigation system is helpful to precise location of the tumors in the deep regions of brain, reasonable designing of the operative plan and decrease in the operative complication.